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[垂体前叶萎缩作为肾综合征出血热的晚期并发症]

[Anterior pituitary lobe atrophy as late complication of hemorrhagic fever with renal syndrome].

作者信息

Jovanović Dragan, Kovacević Zoran, Dragović Tamara, Petrović Marijana, Tadić Jelena

机构信息

Vojnomedicinska akademija, Klinika za nefrologiju, Beograd.

出版信息

Vojnosanit Pregl. 2009 Feb;66(2):166-8. doi: 10.2298/vsp0902166j.

Abstract

INTRODUCTION

Hemorrhagic fever with renal syndrome (HFRS) is acute infective multisystemic disease followed by febrility, hemorrhages and acute renal insufficiency. Bleeding in the anterior pituitary lobe leading to tissue necrosis occurs in acute stage of severe clinical forms of HFRS, while atrophy of the anterior pituitary lobe with diminution of the gland function occurs after recovery stage.

CASE REPORT

We presented a patient with the development of chronic renal insufficiency and hypopituitarism as complication that had been diagnosed six years after Hantavirus infection. Magnetic resonance of the pituitary gland revealed atrophy and empty sella turcica.

CONCLUSION

Regarding frequency of this viral infection and its endemic character in some parts of our country partial and/or complete loss of pituitary function should be considered during the late stage of HFRS.

摘要

引言

肾综合征出血热(HFRS)是一种急性感染性多系统疾病,伴有发热、出血和急性肾功能不全。在严重临床类型的HFRS急性期,垂体前叶出血导致组织坏死,而在恢复期后出现垂体前叶萎缩及腺功能减退。

病例报告

我们报告了一名患者,在感染汉坦病毒六年后出现慢性肾功能不全和垂体功能减退并发症。垂体磁共振成像显示萎缩及空蝶鞍。

结论

鉴于我国部分地区这种病毒感染的频率及其地方性特征,在HFRS后期应考虑垂体功能部分和/或完全丧失的情况。

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